A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
"Instruct the client's visitors not to operate the PCA pump.
"Check the client's pain level every 8 hours.
"Using morphine PCA increases the client's risk of toxicity."
"Diarrhea is an adverse effect of morphine PCA"
The Correct Answer is A
A. Only the client should operate the PCA pump to ensure self-administration within prescribed limits.
B. Pain assessment should be more frequent, and the client's pain level should be assessed as needed, not on a fixed schedule.
C. Morphine PCA allows the client to self-administer a predetermined dose, minimizing the risk of overdose or toxicity.
D. Constipation, not diarrhea, is a common adverse effect of opioid medications, including morphine.
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Related Questions
Correct Answer is D
Explanation
A. Montelukast is not associated with an increase in white blood cell count.
B. Montelukast primarily acts as a leukotriene receptor antagonist, targeting inflammation in the airways, and does not affect peripheral vasodilation.
C. Montelukast is not used for gastric acid neutralization; it is indicated for the treatment of respiratory conditions like asthma.
D. Montelukast is known for its anti-inflammatory effects on the airways, reducing bronchial inflammation and improving symptoms in conditions like asthma.
Correct Answer is C
Explanation
A. Rinsing the mouth out after each dose is necessary for inhaled corticosteroids, not oral ones, to prevent oral thrush and other infections.
B. Prednisone is typically taken with food to minimize gastrointestinal irritation.
C. Prednisone is a corticosteroid that can cause bone loss and osteoporosis when used for long-term management of chronic asthma. Therefore, the client should take a calcium supplement to prevent or reduce the risk of these complications.
D. Weight gain, rather than weight loss, is a common side effect of prednisone use.
Informing the client about potential changes in weight is important, but the expected effect is usually weight gain.
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